Browsing by Author "Garayar Pulgar, Bernardita"
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- ItemAcute kidney injury caused by rhabdomyolysis as a SARS-CoV-2 infection manifestation. Report of one case(Sociedad Médica de Santiago, 2021) Pérez, Javier; Sánchez, Sebastián; Sepúlveda Arcos, Rodrigo Antonio; Vera Alarcón, María Magdalena; Mery Ponce, Pablo Agustín; Garayar Pulgar, Bernardita; Jalil Milad, Roberto DanielSARS-CoV-2 infection has a wide spectrum of clinical manifestations secondary to the impairment of different organs, including kidney. Rhabdomyolysis is produced by disintegration of striated muscle and the liberation of its contents to the extracellular fluid and bloodstream. This may produce hydro electrolytic disorders and acute kidney injury. We report a 35-year-old female with a history of SARS-CoV-2 infection who was hospitalized because of respiratory failure and developed renal failure. The etiologic study showed elevated total creatine kinase levels and a magnetic resonance imaging confirmed rhabdomyolysis. The patient required supportive treatment with vasoactive drugs, mechanic ventilation and kidney replacement therapy. She had a favorable evolution with resolution of respiratory failure and improvement of kidney function.
- ItemEnseñanza de auscultación cardiaca a estudiantes y residentes de medicina mediante el uso de un simulador de ruidos cardiacos(2012) Martínez, Gonzalo; Guarda Salazar, Eduardo Raimundo; Baeza Vergara, Ricardo Gabriel; Garayar Pulgar, Bernardita; Chamorro S., Gastón; Casanegra, Pablo
- ItemEvaluation of oral anticoagulation with rivaroxaban, in patients with new onset non valvular atrial fibrillation(2016) Neira, V.; Corbalán Herreros, Ramón; Pereira Garcés, Jaime Ignacio; Panes Becerra, Olga Teresa; Garayar Pulgar, Bernardita; Aizman, Andrés; Llevaneras, S.; Villarroel del Pino, Luis A.
- ItemFactores determinantes en la aparición de fibrilación auricular post-cirugía de revascularización miocárdica. Un estudio prospectivo(2007) Baeza Vergara, Ricardo Gabriel; Garayar Pulgar, Bernardita; Morán Velásquez, Sergio; Zalaquett Sepúlveda, Ricardo; Irarrázaval Llona, Manuel José; Becker Rencoret, Pedro Antonio; Viviani García, Paola; Ferrada, Marcela; Corbalán Herreros, RamónBackground: Atrial fibrillation (AF) is a relevant complication after coronary artery bypass grafting (CABG). However there is controversy regarding possible contributing factors. Aim: To study the incidence of AF, its risk factors and its repercussion on hospital stay and charges, in patients undergoing CABG. Material and methods: We prospectively collected information from all patients undergoing CABG in our institution, including demographic, surgical and laboratory variables. Exclusion criteria were chronic AF, recent onset AF and patients who needed additional surgical procedures. The primary endpoint was the incidence of AF during the hospital stay. Secondary endpoints were hospital length of stay and hospital charges. Results: We included 250 patients aged 62±9 years (199 males) in the analysis. Incidence of AF was 22% (54 patients). Multivariable analysis showed that age (Odds Ratio (OR) =1.10), previous CABG (OR =9.39), previous use of ACE inhibitors (OR =3.28) and aortic clamp >57 minutes (OR =3.97) were significantly associated with an increased risk of postoperative AF. Previous use of beta-blockers was associated with risk reduction (OR =0.43). Patients who developed AF had a longer hospital stay (p <0.001) and higher hospital charges (p =0.003). Conclusion: AF is a frequent complication in patients undergoing CABG. Risk factors are age, time of aortic clamp, previous CABG and ACE inhibitors. Beta-blockers may prevent its occurrence. Furthermore, AF has a negative impact on both hospital stay and hospital charges
- ItemInfluencia del sistema de salud de procedencia y otros factores en el resultado del reemplazo valvular mitral(2013) Morán, Sergio; Muñoz Contreras, María Cecilia; Garayar Pulgar, Bernardita; Zalaquett Sepúlveda, Ricardo; Irarrázaval Llona, Manuel José; Becker Rencoret, Pedro Antonio; González Foretic, Rodrigo Vicente
- ItemInsuficiencia renal aguda secundaria a rabdomiolisis como manifestación de infección por SARS-CoV-2(2021) Pérez, Javier; Sánchez, Sebastián; Sepúlveda Arcos, Rodrigo Antonio; Vera Alarcón, María Magdalena; Mery Ponce, Pablo Agustín; Garayar Pulgar, Bernardita; Jalil Milad, Roberto DanielSARS-CoV-2 infection has a wide spectrum of clinical manifestations secondary to the impairment of different organs, including kidney. Rhabdomyolysis is produced by disintegration of striated muscle and the liberation of its contents to the extracellular fluid and bloodstream. This may produce hydro electrolytic disorders and acute kidney injury. We report a 35-year-old female with a history of SARS-CoV-2 infection who was hospitalized because of respiratory failure and developed renal failure. The etiologic study showed elevated total creatine kinase levels and a magnetic resonance imaging confirmed rhabdomyolysis. The patient required supportive treatment with vasoactive drugs, mechanic ventilation and kidney replacement therapy. She had a favorable evolution with resolution of respiratory failure and improvement of kidney function.
- ItemRemodelado auricular derecho y niveles plasmáticos de Galectina-3 se relacionan con la capacidad funcional de pacientes con hipertensión arterial pulmonar(2016) Gabrielli, Luigi; Verdejo Pinochet, Hugo; Ocaranza, María Paz; Sepúlveda, Pablo; Baraona Reyes, Fernando Exequiel; Salinas, Manuel; Saavedra, R.; Llevaneras, Silvana; Quiroga Lagos, Clara Rosa; Garayar Pulgar, Bernardita; Lavandero, Sergio; Castro Gálvez, Pablo Federico
- ItemSystemic vascular cell adhesion molecule-1 predicts the occurrence of post-operative atrial fibrillation(2011) Verdejo Pinochet, Hugo; Roldan, Juan; García, Lorena; Del Campo, Andrea; Becerra, Elia; Chiong, Mario; Mellado Suazo, Rosemarie; García, Amalia; Zalaquett Sepúlveda, Ricardo; Braun Jones, Sandra; Garayar Pulgar, Bernardita; González Bombardiere, Sergio; Lavandero, Sergio; Corbalán Herreros, Ramón